“…Common findings include gastrointestinal anomalies [18], renal-genital-urinary anomalies, cleft lip or palate, congenital heart defect and pulmonary anomalies [28]. LTEC are found in up to 50 % of patients with Opitz syndrome [19,26] and is known to occur in Pallister-Hall [6] and VACTER syndromes. There may be a maternal history of nonspecific polyhydramnios [15,18].…”